- Author:
Maria Isabel M. Belizario, MD
1
;
Jolene G. Dumlao, MD, FPDS
2
;
Johannes F. Dayrit, MD
3
Author Information
- Publication Type:Case Reports
- Keywords: persistent ulceration
- MeSH: cheilitis; plasma cell; tacrolimus
- From: Journal of the Philippine Dermatological Society 2023;32(1):57-60
- CountryPhilippines
- Language:English
-
Abstract:
Introduction:Plasma cell cheilitis (PCC) is a rare, chronic inflammatory dermatitis of unknown etiology. Due to the limited number of
cases reported, no guidelines have been established for its treatment. We present a case of PCC clinically similar to actinic cheilitis or mucosal lichen planus, and squamous cell carcinoma but showed response to topical tacrolimus 0.1% ointment.
Case Report:A 62-year-old female with extreme fondness to piping hot food presented with a solitary painful ulceration with some pustules and bleeding on the lower lip with three (3) months duration. Skin punch biopsy revealed a dense band-like infiltrate of plasma cells which is consistent with Plasma cell cheilitis. The patient was given tacrolimus 0.1% ointment and showed significant improvement after a month of treatment.
Conclusion:PCC is a rare condition that should still be considered in patients presenting with persistent cheilitis. Clinical and histological correlation is advised for proper management and prognostication. - Full text:JPDS 131.pdf